RFM/FORM CAPVC
Central Provident Fund Board
Robinson Road P.O. Box 3060 Singapore 905060
Website: www.cpf.gov.sg
CPF Call Centre: 1800-227 1188
Refund of Excess CPF Contributions Above the Additional Wage Ceiling and/or Voluntary Contribution Limit
This form may take you 10 minutes to complete
1. Please read the Important Notes and Authorisation and Declaration Clause stated in the overleaf before completing this form.
2. Use of correction fluid and pencil is not allowed. Please cross out any error and sign against the amendment.
3. You may submit your application online at www.cpf.gov.sg > Employers > Services > Adjustment and Refund of CPF Contributions
(A) Particulars of Employer
-
CSN
-
Name of Company/Firm/Society/Individual:
Fax :
Address:
Name of Contact Officer:
Email:
Tel :
(B) Particulars of Employee
Name of Employee:
NRIC No.
Email:
Tel / HP :
(C) Actual Wages / Contribution Details of Employee
Wages Paid ($)
Contribution Paid on OW ($)
Year 20_ _
Month
Ordinary (OW)
Additional (AW)
Employer
Employee
Contribution Paid on AW ($)
Employer
Employee
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Total
(D) Declaration of Bank Account Information (For employers who do not have a Direct Debit arrangement with
the Board)
1) Employer's Bank Account Information:
Please attach a copy of the bank statement as supporting document [except United Overseas Bank Ltd (UOB)
and Oversea-Chinese Banking Corporation Ltd (OCBC) bank account holders].
Bank Name:__________________________ Bank Account No.:_______________________________________
(E) Declaration by Employer
1) Employee left employment? Yes/No*
If Yes, please indicate last date of employment ________________________(dd/mm/yyyy)
2) Employee posted overseas? Yes/No*
If Yes, please indicate period of overseas posting ________________(dd/mm/yyyy) to _______________(dd/mm/yyyy).
3) I agree to the authorisation and declaration clause stated in the overleaf and certify that the information given in this form
is true, correct and complete. I will not hold CPF Board liable for any loss or damage howsoever incurred or sustained
by me due to inaccurate, incomplete or false information given by me in this form.
(Authorised officer must not be the same as the employee)
____________
_________________________________________________
______________________________
Date
Name & Designation of Authorised Officer
Signature of Authorised Officer
(F) Declaration by Employee
1) Employee's Bank Account Information:
Please attach a copy of the bank statement as supporting document [except POSBank (POSB), UOB and
OCBC bank account holders].
Bank Name:__________________________ Bank Account No.:________________________________________
2) I agree to the authorisation and declaration clause stated in the overleaf and certify that the wage / contribution details
and my bank account information stated in this form is true, correct and complete.
____________
Date
Revised in April 2017
___________________________
Signature of Employee
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*Delete whichever is not applicable
Important Notes:
1. CPF Contributions, including voluntary contributions (VC) are limited to mandatory contributions (MC) or the VC limit,
whichever is higher. If the MC paid is above the VC limit, no VC is allowed. Any excess VC paid are refunded without
interest.
2. Excess contributions paid above the Additional Wage Ceiling for the year will be refunded. The Board will recover any
shortfall in contribution/penalty interest incurred by the employer from the excess contribution before making the
refund.
3. RFM/Form CAPVC must be duly completed by the employer and employee.
4. You will need the following information to complete the form:
a) Employer's CPF Submission Number (CSN) and Employee's NRIC No.
b) Employee's wage and contribution details
c) Employer's bank account information (For employers who do not have a Direct Debit arrangement with the Board)
d) Employee's bank account information
5. Employers who do not have a Direct Debit arrangement with the Board are required to attach a copy of the bank
statement as supporting document [except UOB and OCBC].
6. Employers are required to attach a copy of the employee’s bank statement as supporting document
[except POSB, UOB and OCBC].
7. For more information on CSN, please visit https://www.cpf.gov.sg/employers > Employer Guide > Setting up a company
> Registering as an Employer and Knowing your responsibilities.
8. The Board shall not be liable for any loss caused to or damage incurred or suffered by employer/employee or any
person by reason of or in connection with the refund application, including any loss or damage arising directly or
indirectly from the Board’s acting on inaccurate information provided to it for such application.
9. You may email us at [email protected] if you need further clarification.
Authorisation and Declaration Clause
I/We authorise Central Provident Fund Board ("Board") to obtain confirmation/verification of information relating to
me/us and/or to my/our account(s) ("Account") as stated in the application form from/with the bank where the
Account is maintained ("Bank") as stated in the application form.
I/We irrevocably consent to and authorise the Bank, including any officer thereof, to disclose any information
whatsoever relating to me/us and to the Account as is necessary for the sole purpose of account validation. I agree
that this consent shall survive the termination of any of the Account with the Bank and may be relied on and
enforced as fully and effectively by the Bank as if it is addressed to the Bank.
I/We understand that the Board has the absolute discretion to decide whether or not to perform such verification.
I/We will not hold the Board responsible if it decides not to perform such verification.
Where the employee is unable to sign on this form for any reason, I, the employer, confirm that I have obtained the
same written consent set out above from the employee with regards to his Account.
Revised in April 2017
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